Absence Reporting

Complete this form to report your child's absence to the Greensburg Salem Middle School Attendance Office.

* Once this form is submitted, it is NOT necessary to call the office or send in a written excuse.

Student's Name (Please enter First AND Last Name):

Student Graderequired

Homeroom Teacher

Date of Absencerequired

Must contain a date in M/D/YYYY format

If more than one date, please include the end date.

Reason for Absence (if more than one day, please include reasons for all dates)

Please upload any Medical excuse or documentation here.

Attach up to 3 files with a maximum size of 10MB

No file chosen

Parent/Guardian Namerequired

Parent/Guardian Phone Numberrequired

Confirmation Email Addressrequired

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